Issa Mohammad Ahmad, Sidhu Jatinder Singh, Tehrani Soudeh Gerami, Clementsen Paul Frost, Bodtger Uffe
Pulmonary Research Unit (PLUZ), Department of Respiratory Medicine, Zealand University Hospital in Roskilde & Næstved, Denmark.
Department of Pathology, Zealand University Hospital, Roskilde, Denmark.
Respir Med Case Rep. 2023 Mar 8;43:101833. doi: 10.1016/j.rmcr.2023.101833. eCollection 2023.
This is the first paper to report sampling of pancreatic lesions by EUS-B-FNA. A 76 year old patient suspected of primary lung cancer presented with a 36 × 24 mm lesion in the pancreas. Thoracentesis showed malignant cells suggestive of mucinous adenocarcinoma, but immunohistochemistry was inconclusive. Due to rapid deterioration of performance status of this frail patient, the program was shortened to EUS-B-FNA of the pancreatic lesion, which showed mucinous adenocarcinoma suggestive of primary pancreatic cancer. We conclude that EUS-B-FNA from a pancreatic lesion in the hands of a chest physician is feasible and diagnostic of a tumor in pancreas.
这是第一篇报道通过超声内镜引导下细针穿刺活检（EUS-B-FNA）对胰腺病变进行采样的论文。一名疑似原发性肺癌的76岁患者，胰腺出现一个36×24毫米的病变。胸腔穿刺显示有提示黏液腺癌的恶性细胞，但免疫组化结果不明确。由于该体弱患者的身体状况迅速恶化，检查项目缩短为对胰腺病变进行EUS-B-FNA，结果显示为提示原发性胰腺癌的黏液腺癌。我们得出结论：胸部医生操作的对胰腺病变进行EUS-B-FNA是可行的，且能诊断胰腺肿瘤。
